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Home > Archive > Impotence Support > September 2005 > Rejoyn or Vacurect?
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Rejoyn or Vacurect?
|
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| wildbill 2005-09-23, 5:45 pm |
| I'm diabetic and have heart problems. The magic pills don't seem to
work for me so I'm looking at a vacuum erection device. What I am
finding on the web are mostly cheap,gimmicky looking devices.
However, lots of comments about the Rejoyn (spelling) pump and some
comments about the Vacurect. Any comments or recommendations on either
of these?
The design of the ring or constrictive device or whatever you want to
call it on the Vacurect seems pretty ingenious to me. Apparrently it
is a relatively new device as I have not seen anywhere near the info on
it as I have with the Rejoyn.
Any comments, suggestions, etc. welcome.
Thanks in advance.
Bill W
| |
| greyt88@yahoo.com 2005-09-23, 5:45 pm |
| I have the Pos-T-Vac Boss 2000-2 system, which is basically a
battery-powered version of the Rejoyn system (same manufacturer). The
system works well (albeit with some substandard parts, such as the
larger adapter bushing not fitting well) and produces a good seal,
though Pos-T-Vac's customer service sucks (they have mostly women, who
have no clue how to use the system).
The Vacurect is very intriguing and I am contemplating buying it. The
only drawbacks I see is that you can only use one constriction ring and
the vacuum limiter is higher (15 in/hg vs. 10 in/hg for the Pos-T-Vac).
I have a severe venous leak, and I require 2 tight rings with the
Pos-T-Vac, but the seller of Vacurect says less vacuum is lost through
the ring transfer process so only 1 ring may be needed.
My suggestion is to try the Vacurect, give it a good amount of
practice, and if it doesn't work, fall back on a conventional system
like Rejoyn.
BTW...I saw they sell the Rejoyn system and the rings (only $5 each!)
at Rite-Aid this weekend!
| |
| wildbill 2005-09-23, 5:45 pm |
| Was that in the store or on the web? It seems that all of the
pharmacies in my area have to order these things.
Bill W
> BTW...I saw they sell the Rejoyn system and the rings (only $5 each!)
at Rite-Aid this weekend!
| |
| greyt88@yahoo.com 2005-09-23, 5:45 pm |
| I saw the Rejoyn in the aisle next to the condoms at Rite-Aid. They
only had one Rejoyn system and one 4 pack of constriction rings. I hear
Walgreens also carries it.
| |
| William Koloff 2005-09-23, 5:45 pm |
| Do a search on the "Osbon Ercaid Esteem" vacuum pump. It is the Cadillac
of pumps. It does require a prescription and may be covered by
insurance. If you are paying out of pocket, search the web for varying
prices. It is pricey but some places discount substantially. Best price
I got for the top of the line battery model was $366.50 plus $5
shipping. Other sites wanted $795 to $875! Also check EBay periodically.
You will find new or slightly used ones at a good price.
| |
| David S. 2005-09-23, 5:45 pm |
| I do not think a prescription is required any longer. Not sure when that
changed.
"William Koloff" <wilkol@webtv.net> wrote in message
news:910-431D8F38-956@storefull-3255.bay.webtv.net...
> Do a search on the "Osbon Ercaid Esteem" vacuum pump. It is the Cadillac
> of pumps. It does require a prescription and may be covered by
> insurance. If you are paying out of pocket, search the web for varying
> prices. It is pricey but some places discount substantially. Best price
> I got for the top of the line battery model was $366.50 plus $5
> shipping. Other sites wanted $795 to $875! Also check EBay periodically.
> You will find new or slightly used ones at a good price.
>
| |
| JimBob 2005-09-23, 5:45 pm |
| I agree that the Osbon Esteem is a well designed pump. Built like a
Sherman tank with quality parts. I was lucky enough to find mine on an
Ebay auction for $99 new, simply because no one else knew about it or
did not bid. My only complaint about these pumps are that they do not
furnish an erection as a normal course of fore play. You go into bed to
your partner with a "pre-arranged" erection, so to speak. Still, if
your wife doesn't complain, it should do the job. Mine doesn't
complain. She is just grateful. Also, a 50 mg of V helps.
William Koloff wrote:
> Do a search on the "Osbon Ercaid Esteem" vacuum pump. It is the Cadillac
> of pumps. It does require a prescription and may be covered by
> insurance. If you are paying out of pocket, search the web for varying
> prices. It is pricey but some places discount substantially. Best price
> I got for the top of the line battery model was $366.50 plus $5
> shipping. Other sites wanted $795 to $875! Also check EBay periodically.
> You will find new or slightly used ones at a good price.
>
| |
| Charles 2005-09-23, 5:45 pm |
| wildbill wrote:
> However, lots of comments about the Rejoyn (spelling) pump and some
> comments about the Vacurect. Any comments or recommendations on either
> of these?
A recent trip to a new Urologist concerning ED gave me some info. The
Urologist tried me with Cialis which didn't have any effect. Several
years ago I'd tried Viagra with not much result. I was prepared to ask
about the pumps when the doctor started detailing my options. He said
the pills didn't work and didn't feel the injections would work either.
He said the pumps were ok for older people who only wants to use them
occasionally. He used the example of a married man in his 70's who
would only occasionally want to have sex. His example not mine. He also
said being overweight (sucking in the gut) made the pumps a problem as
getting a good seal was a problem. So his view was pumps were ok for
skinny old geezers who were barely interested in sex. His suggestion
for me (under 40, interested in sex, married to an attractive wife(I
guess if she wasn't attractive he'd had a different suggestion. LOL))
was a penile implant which is scheduled for later this month. Based on
reading details of the process and the post-op I will say the pump
might be a better choice if you have the choice. The implant does seem
to have some major long term benefits but the post-op period is one I'm
not looking forward to experiencing.
| |
| Mr. Softy 2005-09-23, 5:45 pm |
|
"Charles" <charles_gordon_2005@yahoo.com> wrote in message
news:1126113424.797852.229680@o13g2000cwo.googlegroups.com...
> wildbill wrote:
>
> A recent trip to a new Urologist concerning ED gave me some info. The
> Urologist tried me with Cialis which didn't have any effect. Several
> years ago I'd tried Viagra with not much result. I was prepared to ask
> about the pumps when the doctor started detailing my options. He said
> the pills didn't work and didn't feel the injections would work either.
> He said the pumps were ok for older people who only wants to use them
> occasionally. He used the example of a married man in his 70's who
> would only occasionally want to have sex. His example not mine. He also
> said being overweight (sucking in the gut) made the pumps a problem as
> getting a good seal was a problem. So his view was pumps were ok for
> skinny old geezers who were barely interested in sex. His suggestion
> for me (under 40, interested in sex, married to an attractive wife(I
> guess if she wasn't attractive he'd had a different suggestion. LOL))
> was a penile implant which is scheduled for later this month. Based on
> reading details of the process and the post-op I will say the pump
> might be a better choice if you have the choice. The implant does seem
> to have some major long term benefits but the post-op period is one I'm
> not looking forward to experiencing.
>
I think the comment about the pump is both counter-intuitive and contrary to
my experience. Think about it, the more plump you are, the more likely the
cylinder will seal. I have used a VacuTech pump for several years and I am
far, far from being thin.
https://www.vacutech.com
| |
| William Koloff 2005-09-23, 5:45 pm |
| You should consider an implant as a last resort. You might wish to try a
quality pump for while to see if it works well for you. You might also
want to see another URO about injections.
| |
| Mr. Softy 2005-09-23, 5:45 pm |
|
"William Koloff" <wilkol@webtv.net> wrote in message
news:18566-431F3862-97@storefull-3258.bay.webtv.net...
> You should consider an implant as a last resort. You might wish to try a
> quality pump for while to see if it works well for you. You might also
> want to see another URO about injections.
>
I'll second that. It is amazing how uninformed some people are about
particular aspects of their field. In addition, the whole issue of sex
introduces personal bias. For instance, we see professionals who will not
fill prescriptions for ED drugs or contraceptives for unmarried customers.
Unfortunately, some doctors receive perks from drug makers and medical
device manufacturers. I've been on both sides of this and I know how hard
it is to be objective once you have attended a fancy weekend "seminar" at a
resort sponsored by manufacturer. I'm not saying that your urologist is
incompetent or immoral, but we are all human and none of us can be fully
informed about everything or above the influence of people with a financial
interest in having you prescribe their drug or recommend their device.
From your earlier post, you only mention that Cialis didn't work. There are
other drugs. In addition, sometimes you have to give a drug several tries
before you see results. Since the drugs and the injections work in
different ways, and because people here have success with injections when
the drugs don't work, you owe it to yourself to at least try the injections.
I would be haunted for the rest of my life if I had an implant and didn't
try the other oral meds and the injections. Furthermore, since an implant
is not reversible, your urologist should be providing comprehensive
information on the procedure, not leaving you to find it yourself.
I think there are many red flags here. Do get a couple more opinions.
| |
| David S. 2005-09-23, 5:45 pm |
| I second what the others said. How fat or thin you are has nothing to do
with the seal of the pump. You have to use K-Y or similar gel to get a seal
at the base of the penis. The only factor I can see with the weight is if
the person has difficulty working with the pump because they cannot see what
they are doing and in extreme cases it may be difficult to reach down there.
As to the possibility of problems due to frequent use, I really do not know.
I would not think the pump itself would be a problem, however. As a matter
of fact in the prostate world we are told that getting blood in the penis is
beneficial. Having it clamped off with the rings, that may be another
matter. I can see where doing that a lot could cause some harm, but I do
not know that for a fact. If you get a pump from a reputable manufacturer,
Osbon being the best from what I have read, you will have detailed
instructions and customer support available.
I too fail to see any connection between the pills and the shots. The shots
work for lots of men. If you are concerned about the needle, one, don't be.
In my experience at least, the injection does not hurt. And, two, there is
an alternative, MUSE, the suppository that has the same medication as
Caverject. It has a plastic device that you use to put the tiny pellet in
the urethra. My problem with MUSE was that it was expensive. It cost me
$155.00 for six doses. That is too much for me to handle.
Finally, if you decide on the implant, be sure that the physician doing the
procedure has plenty of experience. I can't say that I have ever run into
anyone dissatisfied with the implant, speaking here of the AMS 700 type, not
the implant that is permanently stiff and you just bend it down or to the
side when not in use. But with this type of procedure that experience
matters. Done wrong, this can do a lot of damage, and there is no turning
back. That is the main thing holding me back. My ED doctor tells me that
his patients are most satisfied with the implant over the other
alternatives, but this should be you last choice as one of the others has
already said.
Good luck to you.
"Charles" <charles_gordon_2005@yahoo.com> wrote in message
news:1126113424.797852.229680@o13g2000cwo.googlegroups.com...
> wildbill wrote:
>
> A recent trip to a new Urologist concerning ED gave me some info. The
> Urologist tried me with Cialis which didn't have any effect. Several
> years ago I'd tried Viagra with not much result. I was prepared to ask
> about the pumps when the doctor started detailing my options. He said
> the pills didn't work and didn't feel the injections would work either.
> He said the pumps were ok for older people who only wants to use them
> occasionally. He used the example of a married man in his 70's who
> would only occasionally want to have sex. His example not mine. He also
> said being overweight (sucking in the gut) made the pumps a problem as
> getting a good seal was a problem. So his view was pumps were ok for
> skinny old geezers who were barely interested in sex. His suggestion
> for me (under 40, interested in sex, married to an attractive wife(I
> guess if she wasn't attractive he'd had a different suggestion. LOL))
> was a penile implant which is scheduled for later this month. Based on
> reading details of the process and the post-op I will say the pump
> might be a better choice if you have the choice. The implant does seem
> to have some major long term benefits but the post-op period is one I'm
> not looking forward to experiencing.
>
| |
| greyt88@yahoo.com 2005-09-23, 5:46 pm |
| Just wondering how often you guys with the VED use it? Do you ever use
it more than once in a night? I've used it twice in one night (about an
hour after I took the rings off the first time). I had more fluid
build-up and more of a doughnut than normal. I try to use viagra, etc.
so I pump from a partial erection to reduce fluid build-up.
A major selling point the VED manufacturers never advertize is the size
of the erections. Erections are a bit longer and have a good deal more
girth (even w/o a large fluid build-up) and the head gets very hard. A
problem with implants is the loss of size, as well as the head not
getting very hard, which is something you think the VED manufacturers
would contrast with as one of the advanatages of their product.
| |
| Charles 2005-09-23, 5:46 pm |
|
Mr. Softy wrote:
> I think the comment about the pump is both counter-intuitive and contrary to
> my experience. Think about it, the more plump you are, the more likely the
> cylinder will seal.
Based on that info....I'd likely be a great candidate for the pump. I'm
not sure why the doctor advised what/how he did. Just passing along the
info.
| |
| Charles 2005-09-23, 5:46 pm |
|
Mr. Softy wrote:
> I'll second that. It is amazing how uninformed some people are about
> particular aspects of their field. In addition, the whole issue of sex
> introduces personal bias. For instance, we see professionals who will not
> fill prescriptions for ED drugs or contraceptives for unmarried customers.
> Unfortunately, some doctors receive perks from drug makers and medical
> device manufacturers. I've been on both sides of this and I know how hard
> it is to be objective once you have attended a fancy weekend "seminar" at a
> resort sponsored by manufacturer. I'm not saying that your urologist is
> incompetent or immoral, but we are all human and none of us can be fully
> informed about everything or above the influence of people with a financial
> interest in having you prescribe their drug or recommend their device.
I can't say this is true or untrue for my urologist. I just don't have
proof of either position.
> From your earlier post, you only mention that Cialis didn't work. There are
> other drugs. In addition, sometimes you have to give a drug several tries
> before you see results.
The viagra I'd tried several years ago with minimal results. The Cialis
seemed to have no effect. While using the Cialis was only via a sample
pack I was given the Viagra was a 10+ pill attempt and my ED has gotten
worse over the years. My ED is caused by Diabetes on which the pills
supposedly have limit effect.
Since the drugs and the injections work in
> different ways, and because people here have success with injections when
> the drugs don't work, you owe it to yourself to at least try the injections.
As a diabetic I give myself injections multiple times a day. My wife is
a nurse. We both discussed the matter and decided neither of us could
give the injections. Maybe it's something we could over come but for me
I don't think it's a good approach.
> I would be haunted for the rest of my life if I had an implant and didn't
> try the other oral meds and the injections. Furthermore, since an implant
> is not reversible, your urologist should be providing comprehensive
> information on the procedure, not leaving you to find it yourself.
Based on seeing a great many doctors over the years due to diabetic
related complications I can say the urologist is about average when it
comes to informing a patient about what it going to happen. The doctors
I've been to include some very well respected<based on peer
recomendations> doctors and they just don't provide detailed info
without pushing them. Normally I don't push them for in-office
information. I can likely find much better and complete information on
the net and working from that to ask better questions when I visit the
doctor again.
| |
| greyt88@yahoo.com 2005-09-23, 5:46 pm |
| Before going through with an implant, consider this more balanced
discussion of them:
Success Rate
Recipients of penile prostheses are generally pleased with the results.
All acquire a rigidity of the penile shaft adequate for penetration.
Initial reports from urologic surgeons were glowing, with success rates
reported at 90 to 95 percent. Long term follow-up has tempered this
enthusiasm to some degree. Today, patient and partner satisfaction is
closer to 60 to 75 percent.
Complications of Penile Prosthesis Surgery
A surprisingly large number of men will require repeat surgery. The
most common complications are mechanical failure of the prosthesis,
postoperative infection, and penile pain. Mechanical complications
occur most often in multi-component inflatable prostheses and reflect
malfunction in the workings of the rods, cylinders, or hydraulic
system, or kinks in the tubing. The prosthesis must be removed and
replaced with either a new, identical unit or an alternative type of
prosthesis; the choice is up to the urologist and patient.
Postoperative
wound infection is less common today than in the past. Now implant
recipients receive antibiotic treatment during and immediately after
surgery.
Postoperative pain does occur in some patients. It is usually localized
in the tip of the penis (the glans); however, discomfort in the penile
shaft, scrotum, base of the penis, or abdomen is not uncommon. In one
series of 179 penile prosthesis implants performed at the Mayo Clinic,
61 patients reported complications with the prostheses' mechanisms.
Another 42 patients experienced pain, most commonly at the tip of the
penis, but occasionally in the penile shaft, scrotum, base of the
penis, or abdomen. Of these men, 32 rated their pain moderate or
severe.
Pain can herald a more serious problem. It may imply that the position
of the prosthesis compromises the function of other vital structures.
Pressure on the urethra will cause pain and is a warning of some
underlying problem. Paraplegic patients, however, do not perceive pain.
As many as one-third of impotent paraplegic men with penile prostheses
experience damage to their urethra within six months after surgery.
Research indicates that complications as well as the need for
re-operation seem to depend on the type of device implanted, the
duration of the follow-up, and the group of patients studied. For
example, patients implanted with the older, rigid Small-Carrion
prosthesis rarely require re-operation. The re-operation rate is much
higher with inflatable penile prostheses (IPP) (see table 3). The
malleable and self-contained penile prostheses (SCPP) are the least
prone to mechanical breakdown. However, these devices are relatively
new, and most urologists have little more than two to three years of
experience with them. Still, even within this brief time span,
re-operation rates of 14 to 22 percent have been reported.
Although surgical success rates for some devices now approach 90 to 95
percent, patient satisfaction does not parallel this impressive figure.
A major problem is disappointment with postoperative penile length and
width. Some men never attempt intercourse after the prosthesis is
implanted; others have intercourse for only a brief time and then
abandon sexual activities. Additional areas of disaffection with
prostheses surfaced in response to specific questions.
The majority of urologists are men, and in the beginning the male
perspective distinctly covered the reported results of prosthesis
surgery. Female health care professionals saw things differently. They
approached the issue of satisfaction after implantation by interviewing
both partners. Some couples were not having intercourse at all. Of
those who were having intercourse, 25 percent reported restriction in
positions because of the decreased penis size. Fifteen percent of the
men experienced diminution of orgasmic intensity. Still, 79 percent of
men said that they would, if given the opportunity, undergo the
operation again. Only 59 percent of their partners had no hesitation.
Some urologists claim that satisfaction depends on the type of
prosthesis, with IPP recipients being generally more satisfied than
those who receive other prostheses. Because they are easily concealed
and readily activated, one would have anticipated that the
multi-component IPP would have emerged by now as the dominant, if not
the only, penile prosthetic device implanted.
This has not turned out to be the case, for two reasons. Significant
problems with the internal hydraulics of IPPs remain, and mechanical
failures are common. Perhaps more troublesome is the fact that a
certain amount of manual dexterity is required to inflate the IPP.
Originally, in an effort to mimic the genital caressing that is a
natural component of sexual foreplay, the man's sexual partner was
encouraged to play an active role in pumping the scrotal bulb so that
fluid could be transferred from the abdominal reservoir to the
prosthesis, a maneuver intended to mimic a stimulated erection. This
has not been as warmly embraced as expected. Sexual partners are often
unwilling to participate in the pumping procedure. Some are simply not
deft at manipulating the scrotal bulb. As a result, inadequate amounts
of fluid are transferred from the reservoir to the prosthesis shaft,
and a sub optimal erection ensues. In such cases failure of the device
has been ascribed not to mechanical problems of the unit itself but to
the inadequate level of participation of sexual partners. Those who
have been unwilling to become involved as vigorous squeezers of the
scrotal bulb have been decried as “timid pumpers." Other factors
may also have a significant impact on postoperative sexual
satisfaction.
Obese patients are often displeased following penile prosthesis surgery
because the length of the unit protruding beneath their lower abdominal
fat pad is limited. Most prostheses are approximately eight inches in
length. If there is an extensive overhanging fat pad, then perhaps only
an additional four inches of rigid penile tissue will protrude for
purposes of sexual intercourse. If the patient's partner is also obese,
it will be very difficult for the couple to find a position in which
penile-vaginal penetration and adequate vaginal containment is
possible. For obese couples, postoperative sexual gratification may be
limited.
Inappropriate expectations are high on the list of reasons for
postoperative patient/partner dissatisfaction. The prosthesis provides
only the penile rigidity necessary to achieve vaginal penetration.
Patients who anticipate that the equipment will allow them to recapture
the real, or imagined, sexual prowess of their youth are likely to be
displeased.
Patients whose impotence is attributed to psychogenic factors do not
derive as much long-term benefit from prosthetic surgery as those whose
impotence is caused by either neurogenic or vasculogenic factors.
On occasion, impotent men have sexual problems other than erectile
dysfunction. Lack of spontaneous arousal, limited libido, and
ejaculatory disorders are not corrected by penile prosthesis
implantation.
The level of preoperative patient/partner interaction is a critical
determinant in evaluating postoperative satisfaction. If, for example,
the female partner has her own sexual dysfunction, such as pain during
intercourse, then she may be fearful of experiencing vaginal
penetration again. A man may choose to have a penile prosthetic implant
without notifying his partner. Such a decision is commonly interpreted
as a rejection of the partner. In addition, some women are fearful that
their previously impotent partners, now outfitted with penile
prostheses, will seek other lovers. Limited studies exploring this
question have indicated that penile
prosthesis recipients are no more susceptible to seduction, nor do they
routinely seek out new sexual opportunities more often than other
comparably aged potent men.
On the other hand, some female partners of impotent men, frustrated
after long periods of sexual abstinence, may pressure the men into
surgery. Any discordance in patient/partner desires for penile
prosthesis surgery is considered a major risk factor for postoperative
dissatisfaction. Couples who have distanced themselves sexually from
each other and have ceased hugging, touching, and all sensual and
erotic contact may not be able to retrieve all aspects of normal sexual
function merely by placing a prosthetic rod in the penis. Clearly,
satisfaction is maximal only when both partners are involved in all
discussions and decisions from the beginning.
As noted, patients with Peyronie's disease have no difficulty achieving
an erection. But the erection bends, so the penis deviates, often
creating a J-shaped erection unsuitable for in tercourse. Peyronie's
disease occurs when fibrous bands grow in the outer lining of the penis
and tug at the penile shaft. The bands can be removed surgically, but
this is only a temporary solution because these strictures tend to
recur at the same or different locations in the penis. Implanting a
prosthesis is often the only way to circumvent the problem.
Men with endocrine disorders, whose potency can be restored with
appropriate hormonal therapy, and men with overt psychological
problems, who require psychotherapy, psychiatric medications, or both,
are the only groups to whom physicians do not routinely offer penile
prosthetic implants.
http://64.233.167.104/search?q=cach...e+%26+dark+skin
+penis&hl=en
| |
| Charles 2005-09-23, 5:46 pm |
|
David S. wrote:
> I second what the others said. How fat or thin you are has nothing to do
> with the seal of the pump. You have to use K-Y or similar gel to get a seal
> at the base of the penis. The only factor I can see with the weight is if
> the person has difficulty working with the pump because they cannot see what
> they are doing and in extreme cases it may be difficult to reach down there.
Nothing as bad as that(weight-wise I mean). Besides with the implant
there's the requirement to be able to pump up and deflate the implant
which requires a greater reach than what I'm guessing the pump
requires.
>
> As to the possibility of problems due to frequent use, I really do not know.
My impression of the urologists advise wasn't that the pump was harmful
if used frequently. I got the feeling he meant it wasn't as natural to
use as the implant(assuming squeezing your balls to pump up your penis
is "natural"). The pump process doesn't sound like something I'd want
to do each time I wanted to have sex. I'm sure the more you do it the
more "natural" it becomes.
> I too fail to see any connection between the pills and the shots.
The shots
> work for lots of men. If you are concerned about the needle, one, don't be.
> In my experience at least, the injection does not hurt.
I use needles multiple times a day for insulin. But I just don't think
I could do it to little Charles. The wife is a nurse and she's said she
can't do it. Even if I physically could do it I don't know I'm
emotionally feel like sex afterwards.
And, two, there is
> an alternative, MUSE, the suppository that has the same medication as
> Caverject. It has a plastic device that you use to put the tiny pellet in
> the urethra.
I had a 1st time cath inserted(while awake anyway) at the Urologist's
office to check for urine retention. I about came unglued even thought
the discomfort was minimal.
My problem with MUSE was that it was expensive. It cost me
> $155.00 for six doses. That is too much for me to handle.
The cost is a consideration in my decision here too. Pills and shots
are an ongoing cost that wouldn't be covered by my insurance. The
implant is covered. It's not a purely financial choice but it does play
a part.
> Finally, if you decide on the implant, be sure that the physician doing the
> procedure has plenty of experience.
He does and has no complaints made against him by former patients. He's
well regarded by his peers.
I can't say that I have ever run into
> anyone dissatisfied with the implant, speaking here of the AMS 700 type, not
> the implant that is permanently stiff and you just bend it down or to the
> side when not in use.
He's using the AMS 700 Ultrex. I have to admit a bit of vanity here too
as it supposedly can increase length by 20% and also increase girth. I
won't claim to be such a tough guy as to tell the doc to "reduce it a
little doc it's just way too big". My wife and I both liked hearing the
Ulologist mention the ability to leave it inflated for a basically
unlimited time period. Admitedly my mind ran wild for a few moments.
Alright it'a running wild right now thinking about it.
I didn't have that ability 10-15 years ago and I've got alot more ideas
on how to use that ability these days.
| |
| Charles 2005-09-23, 5:46 pm |
| greyt88@yahoo.com wrote:
> Before going through with an implant, consider this more balanced
> discussion of them:
I appreciate you posting this. The more infomation I can get the
better.
>
> Success Rate
>
> Recipients of penile prostheses are generally pleased with the results.
> All acquire a rigidity of the penile shaft adequate for penetration.
> Initial reports from urologic surgeons were glowing, with success rates
> reported at 90 to 95 percent. Long term follow-up has tempered this
> enthusiasm to some degree. Today, patient and partner satisfaction is
> closer to 60 to 75 percent.
These later satisfaction numbers are lower than I've seen before. I'll
have to investigate the source of this data.
>
> Complications of Penile Prosthesis Surgery
>
> A surprisingly large number of men will require repeat surgery. The
> most common complications are mechanical failure of the prosthesis,
> postoperative infection, and penile pain.
The Problems 1 and 2 here seem to be something that has seen
improvement over time basewd on the research I've done. Implants have
been improved to avoid mechanical failure and treated with an antibotic
made into the implant. The pain issue...now that's somethign that need
further investigation.
> wound infection is less common today than in the past. Now implant
> recipients receive antibiotic treatment during and immediately after
> surgery.
For me this is a major concern as a diabetic. The urologist did say
site prep would likely last 2X longer than normal to make sure the
chance of infection was reduced. Sounds like little Charles will get
the scrubbing of his life.
>
> Postoperative pain does occur in some patients. It is usually localized
> in the tip of the penis (the glans); however, discomfort in the penile
> shaft, scrotum, base of the penis, or abdomen is not uncommon. In one
> series of 179 penile prosthesis implants performed at the Mayo Clinic,
> 61 patients reported complications with the prostheses' mechanisms.
> Another 42 patients experienced pain, most commonly at the tip of the
> penis, but occasionally in the penile shaft, scrotum, base of the
> penis, or abdomen. Of these men, 32 rated their pain moderate or
> severe.
Ugggg...
> Although surgical success rates for some devices now approach 90 to
95
> percent, patient satisfaction does not parallel this impressive figure.
> A major problem is disappointment with postoperative penile length and
> width. Some men never attempt intercourse after the prosthesis is
> implanted; others have intercourse for only a brief time and then
> abandon sexual activities. Additional areas of disaffection with
> prostheses surfaced in response to specific questions.
Supposedly one of the benefits of the AMS 700 Ultrex is upto a 20%
improvement in length and also increased girth. Either way it's going
to be longer and straighter than it is when it's just laying there as
it is now. Am I expecting perfection? Nope. I do seek major improvement
and it seems that is attainable.
>
> This has not turned out to be the case, for two reasons. Significant
> problems with the internal hydraulics of IPPs remain, and mechanical
> failures are common. Perhaps more troublesome is the fact that a
> certain amount of manual dexterity is required to inflate the IPP.
In all things mechanical I see improvements made as a product
developes. I like to think the implants used at the time of the
research was not as good as the ones being manufacturered today. I
don't see this as a product where cost cutting would lead to a decline
in the manufacturing process.
>
> Originally, in an effort to mimic the genital caressing that is a
> natural component of sexual foreplay, the man's sexual partner was
> encouraged to play an active role in pumping the scrotal bulb so that
> fluid could be transferred from the abdominal reservoir to the
> prosthesis, a maneuver intended to mimic a stimulated erection. This
> has not been as warmly embraced as expected. Sexual partners are often
> unwilling to participate in the pumping procedure.
vs a partnet using a vac pump or giving their partnetr a shot in the
penis? I get the feeling they seek to find fault in their research as
compared to finding the best solution.
Some are simply not
> deft at manipulating the scrotal bulb. As a result, inadequate amounts
> of fluid are transferred from the reservoir to the prosthesis shaft,
> and a sub optimal erection ensues.
In my younger days I typically had an errection before the clothes came
off....somehow I think if I gave it a couple of pumps myself as things
were progressing it wouldn't be the end of the world. Using a condom
seems like it could easily be described in the same terms of partner
dissatisfaction and reluctance to participate in it's use/application.
In such cases failure of the device
> has been ascribed not to mechanical problems of the unit itself but to
> the inadequate level of participation of sexual partners.
Backward<sexually> frigid partner? Maybe a partner that had adapted to
a non-sexual relationship and didn't really want to change the
situation?
> Inappropriate expectations are high on the list of reasons for
> postoperative patient/partner dissatisfaction.
Not a device fault. Did they think an implant would cause them to drop
100 lbs and turn into porn stars?
The prosthesis provides
> only the penile rigidity necessary to achieve vaginal penetration.
> Patients who anticipate that the equipment will allow them to recapture
> the real, or imagined, sexual prowess of their youth are likely to be
> displeased.
Duh....
>
> Patients whose impotence is attributed to psychogenic factors do not
> derive as much long-term benefit from prosthetic surgery as those whose
> impotence is caused by either neurogenic or vasculogenic factors.
As I would expect.
>
> On occasion, impotent men have sexual problems other than erectile
> dysfunction. Lack of spontaneous arousal, limited libido, and
> ejaculatory disorders are not corrected by penile prosthesis
> implantation.
Penile implants also won't fix hang nails or bad eyesight. Maybe
everything they won't fix should have been included as part of this
report.
>
> The level of preoperative patient/partner interaction is a critical
> determinant in evaluating postoperative satisfaction. If, for example,
> the female partner has her own sexual dysfunction, such as pain during
> intercourse, then she may be fearful of experiencing vaginal
> penetration again. A man may choose to have a penile prosthetic implant
> without notifying his partner. Such a decision is commonly interpreted
> as a rejection of the partner. In addition, some women are fearful that
> their previously impotent partners, now outfitted with penile
> prostheses, will seek other lovers. Limited studies exploring this
> question have indicated that penile
Implants will never fix emotional problems of one or both partners.
> prosthesis recipients are no more susceptible to seduction, nor do they
> routinely seek out new sexual opportunities more often than other
> comparably aged potent men.
I guess the full page NewYorkTimes ad with a picture of my penis and
the title of "Help Wanted" should be canceled. That AMS 50% discount
coupon for the advertisement was what pushed me over the edge.
> satisfaction is maximal only when both partners are involved in all
> discussions and decisions from the beginning.
Stating the obvious.....
I do appreciate your infomation but I do have to wonder a bit about the
intentions of this report. I get the feeling that if other reports had
been mainly positive this report was created with the hope that an
alternative viewpoint would gain them some coverage in the press..even
if it was limited to their field.
| |
| greyt88@yahoo.com 2005-09-23, 5:46 pm |
| I believe the Ultrex may result in a longer erections vs. other inplant
devices, but will result at best in no loss vs. the size of your
natural erection, and at worst a loss in length like with other
implants would occur. I am also very skeptical about girth increases.
"AMS 700 Ultrex=99 Penile Prosthesis The 700 Ultrex cylinders are
designed to expand in both length and width(girth).The amount of
cylinder lengthening which actually occurs with usedepends on how much
the tissue in your penis allows them to lengthen andwhether you are
able to completely inflate the cylinders.This means that evenif the
cylinders inside your penis get longer when you fill them with
fluid,theycannot make your penis any longer than it is now."
http://64.233.167.104/search?q=3Dca...com/pdf/700Pat=
ientInstruc%26Use.pdf+%22ams+700+ultrex%22+increase+penis+size&hl=3Den
In general, AMS seems to warn of the many permanent potential erection
changes:
"Your erection with the prosthesis may be different from your
original,natural erection. Differences may include a shorter penis,less
firmness,less width,and reduced sensation in the penis. Also,because
the prosthesis will not extend tothe tip of your penis (the glans),this
part of your penis may be floppy."
Also, in regards to longevity, its appears there is a 15%-20% failure
rate within five years. They do not give data beyond that, which is
troubling for me as a young guy (31 years old). With each sucessive
operation, success rates go down, and complications (nerve loss, penile
shorterning,etc.) go up. The though of needing 4 or more replacements
over my lifetime is not pleasing.
Finally, implanting silicone into my body is not something I like. (I
already have autoimmune diseases).
In the end, implants are a last resort, and if semi-spontaneous sex is
worth the serious, permanent side-effects, it may be an option. For me,
it was never an option. I'll stick with my pump, even with its obvious
drawbacks. Good luck with your decision!
| |
| Charles 2005-09-23, 5:46 pm |
|
grey...@yahoo.com wrote:
> I believe the Ultrex may result in a longer erections vs. other inplant
> devices, but will result at best in no loss vs. the size of your
> natural erection, and at worst a loss in length like with other
> implants would occur. I am also very skeptical about girth increases.
I'll take all the extra beenefits I can get. As for either length or
girth improvement.. it will have to be compared to old memories.I'm
sure I could get all depressed about how it shrank down from that 14"
member I had in youth. Might as well dream BIG if you're gonna dream.
> able to completely inflate the cylinders.This means that evenif the
> cylinders inside your penis get longer when you fill them with
> fluid,theycannot make your penis any longer than it is now."
It can only do so much.
> http://64.233.167.104/search?q=cach...enis+size&hl=en
>
> In general, AMS seems to warn of the many permanent potential erection
> changes:
>
> "Your erection with the prosthesis may be different from your
> original,natural erection. Differences may include a shorter penis,less
> firmness,less width,and reduced sensation in the penis. Also,because
> the prosthesis will not extend tothe tip of your penis (the glans),this
> part of your penis may be floppy."
While I acknowledge this as possible outcomes I also think about the
warning on any and all medical devices/operations/drugs. And better a
floppy tip than the whole thing being floppy.
> Also, in regards to longevity, its appears there is a 15%-20% failure
> rate within five years. They do not give data beyond that, which is
> troubling for me as a young guy (31 years old). With each sucessive
> operation, success rates go down, and complications (nerve loss, penile
> shorterning,etc.) go up. The though of needing 4 or more replacements
> over my lifetime is not pleasing.
The failure rate is a concern to me too. But I feel they continue to
improve the device and I'll be getting the best model they have ever
made.The 15-20$ failure rate was with older models. There is no real
research on the latest model so I have to go based on their desire to
make the best device possible with the knowledge they have at the time.
> Finally, implanting silicone into my body is not something I like. (I
> already have autoimmune diseases).
I would assume it's the best thing they could use. Not like I could
pick a better model to have installed.
> drawbacks. Good luck with your decision!
Thanks. I appreciate it. I feel I'm making the right decision but I'll
continue collecting information until and even past the installation.
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